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Struggling with making an osteoporosis treatment decision
Osteoporosis & Bone Health | Last Active: Jun 4 11:43pm | Replies (661)Comment receiving replies
In my opinion and various experts too, the problem isn't medications, it is the sequence of medications that MD's are prescribing. Every doc I know (and McCormick's book, Leder's MGH video) ) say bone builders first but insurance requires failing the anti-resorptive in many cases, and docs have to go along.
Neither of my docs, or McCormick, uses Prolia at all if they can help it, due to the risks to bones when stopped and the trickiness of timing getting onto a follow up regimen of Reclast.
It is also interesting that so many docs are prescribing Evenity instead of Tymlos or Forteo.
Replies to "In my opinion and various experts too, the problem isn't medications, it is the sequence of..."
I just had my follow up phone appointment with Dr. McCormick. At this point, I have had all the tests done with my CTX score being in the mid 600s, my estradiol being 9.1, my P1NP result was 63.6, and my Alk Phos was 124 (it has been high since 2017). What he is suggesting now is a four month regimen of Osteostim 4x/day, Reseveratrol Supreme with Quercitin 2x/day, one scoop of Collagen/day, ultra low dose, bioidentical estrogen/progesterone patch, and doing a five day urine ph test to see if I need two additional supplements. We do this for four months, retest everything except the P1NP, and if my CTX score has come down to 300 or so, then we're good. If not, he would then concur with my endocrinologist who recommended that I go on Reclast infusion for a year.
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They are prescribing probably Evenity rather than Forteo or Tymlos bc these particular patients have previously had radiation.